Collapsed vert, NEC, lumbosacr rgn, subs for fx w delay heal

Collapsed vertebra, not elsewhere classified, lumbosacral region, subsequent encounter for fracture with delayed healing

AIClinical Context

Clinical Description

This code signifies a vertebral compression fracture in the lumbosacral spine that is not specified as traumatic or pathological, and is experiencing delayed healing. It indicates that the patient is receiving ongoing care for the fracture, which is not progressing to union as expected.

When to Use

Apply this code for patients presenting for follow-up care of a lumbosacral vertebral compression fracture where the healing process is prolonged beyond the typical timeframe. Documentation should clearly state "delayed healing" or similar terminology, and specify the lumbosacral region. This code is appropriate for subsequent encounters after the initial treatment of the fracture.

Coding Tips

Ensure documentation explicitly states "delayed healing" and specifies the lumbosacral region.
Do not use for initial encounters or for fractures healing normally.
Distinguish from nonunion (M48.4-) or malunion (M48.3-), which represent different stages of healing complications.

AI-generated reference. Verify against official guidelines.

Crosswalks

V54.27ApproxICD-9

Same Category

M48Other spondylopathies M48.0Spinal stenosis M48.00Spinal stenosis, site unspecified M48.01Spinal stenosis, occipito-atlanto-axial region M48.02